Per Diem Case Manager II – Philadelphia, Pennsylvania. Facility: Kindred Hospital Philadelphia. Req ID: 552417. Post Date: 02/20/2026.
Description
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day‑to‑day interactions with our patients and teammates.
Job Summary
Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
Essential Functions
- Care Coordination – Coordinates clinical and psycho‑social activities with the Interdisciplinary Team and Physicians.
- Monitors all areas of patients’ stay for effective care coordination and efficient care facilitation.
- Maintains current knowledge of reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.
- Appropriately refers high‑risk patients who would benefit from additional support.
- Serves as a patient advocate.
- Enhances collaborative relationships to maximize the patient’s and family’s ability to make informed decisions.
- Demonstrates knowledge of growth and development across the lifespan and the skills needed to provide age‑appropriate care to the patient population served.
- Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identify post‑hospital needs.
- Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals.
- Coordinates with interdisciplinary care team, physicians, patients, families, post‑acute providers, payors, and others throughout the care continuum.
- Discharge Planning – Conducts comprehensive, ongoing assessment of patients for timely and safe discharge planning; provides comprehensive discharge planning and utilizes critical thinking to develop and execute effective plans; communicates efficiently with patient/family.
- Utilization Management – Conducts medical necessity review for appropriate utilization of services from admission through discharge, promotes effective and efficient utilization of clinical resources, and conducts timely and accurate clinical reviews, care collaboration and coordination of continued stay authorization with payors.
- Other – Conducts job responsibilities in accordance with the Company’s Code of Business Conduct, policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and professional standards.
- Serves on Hospital and Division committees when requested.
Knowledge / Skills / Abilities / Expectations
- Knowledge of government and non‑government payor practices, regulations, standards, and reimbursement.
- Knowledge of Medicare benefits, insurance processes, and contracts.
- Knowledge of accreditation standards and compliance requirements.
- Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
- Basic computer skills and working knowledge of Microsoft Office, word‑processing, and spreadsheet software.
- Excellent interpersonal, verbal, and written skills to communicate effectively with hospital leadership, physicians, payors, and other external customers.
- Good interpersonal skills when interacting with patients, their families, and staff members.
- Must read, write and speak fluent English. No travel required (0%). Good and regular attendance expected.
- Performs other related duties as assigned.
Qualifications
Education
- Accredited nursing or social work education: BSN, MSN, BSW, or MSW.
Licenses / Certifications
Experience
- Experience in a healthcare setting in case management, utilization review, or discharge planning.